Individual
DR. GAYLE DENISE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212-0140
(760) 725-5208
(760) 763-6510
Mailing address
1566 CHATEAU SAINT JEAN, BONSALL, CA 92003-6100
(760) 631-1336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4439
AL
Other
Enumeration date
12/14/2005
Last updated
03/16/2009
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